| M Dental Granbury, Pllc | |
|
500 W Pearl St Granbury TX 76048-2044 | |
| (817) 275-4817 | |
| Not Available |
| Full Name | M Dental Granbury, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 500 W Pearl St, Granbury, Texas |
| Authorized Official Name and Position | Lee Charles Mercer (OWNER) |
| Authorized Official Contact | 8172754817 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M Dental Granbury, Pllc 725 N Fielder Rd Arlington TX 76012-4636 Ph: (817) 275-4817 | M Dental Granbury, Pllc 500 W Pearl St Granbury TX 76048-2044 Ph: (817) 275-4817 |
| NPI Number | 1396201778 |
|---|---|
| Provider Enumeration Date | 02/11/2019 |
| Last Update Date | 02/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396201778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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